Diabetic Foot Australia guideline on footwear for people with diabetes
Abstract Background The aim of this paper was to create an updated Australian guideline on footwear for people with diabetes. Methods We reviewed new footwear publications, (inter)national guidelines, and consensus expert opinion alongside the 2013 Australian footwear guideline to formulate updated...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
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| Series: | Journal of Foot and Ankle Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13047-017-0244-z |
| _version_ | 1797225644295192576 |
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| author | Jaap J. van Netten Peter A. Lazzarini David G. Armstrong Sicco A. Bus Robert Fitridge Keith Harding Ewan Kinnear Matthew Malone Hylton B. Menz Byron M. Perrin Klaas Postema Jenny Prentice Karl-Heinz Schott Paul R. Wraight |
| author_facet | Jaap J. van Netten Peter A. Lazzarini David G. Armstrong Sicco A. Bus Robert Fitridge Keith Harding Ewan Kinnear Matthew Malone Hylton B. Menz Byron M. Perrin Klaas Postema Jenny Prentice Karl-Heinz Schott Paul R. Wraight |
| author_sort | Jaap J. van Netten |
| collection | DOAJ |
| description | Abstract Background The aim of this paper was to create an updated Australian guideline on footwear for people with diabetes. Methods We reviewed new footwear publications, (inter)national guidelines, and consensus expert opinion alongside the 2013 Australian footwear guideline to formulate updated recommendations. Result We recommend health professionals managing people with diabetes should: (1) Advise people with diabetes to wear footwear that fits, protects and accommodates the shape of their feet. (2) Advise people with diabetes to always wear socks within their footwear, in order to reduce shear and friction. (3) Educate people with diabetes, their relatives and caregivers on the importance of wearing appropriate footwear to prevent foot ulceration. (4) Instruct people with diabetes at intermediate- or high-risk of foot ulceration to obtain footwear from an appropriately trained professional to ensure it fits, protects and accommodates the shape of their feet. (5) Motivate people with diabetes at intermediate- or high-risk of foot ulceration to wear their footwear at all times, both indoors and outdoors. (6) Motivate people with diabetes at intermediate- or high-risk of foot ulceration (or their relatives and caregivers) to check their footwear, each time before wearing, to ensure that there are no foreign objects in, or penetrating, the footwear; and check their feet, each time their footwear is removed, to ensure there are no signs of abnormal pressure, trauma or ulceration. (7) For people with a foot deformity or pre-ulcerative lesion, consider prescribing medical grade footwear, which may include custom-made in-shoe orthoses or insoles. (8) For people with a healed plantar foot ulcer, prescribe medical grade footwear with custom-made in-shoe orthoses or insoles with a demonstrated plantar pressure relieving effect at high-risk areas. (9) Review prescribed footwear every three months to ensure it still fits adequately, protects, and supports the foot. (10) For people with a plantar diabetic foot ulcer, footwear is not specifically recommended for treatment; prescribe appropriate offloading devices to heal these ulcers. Conclusions This guideline contains 10 key recommendations to guide health professionals in selecting the most appropriate footwear to meet the specific foot risk needs of an individual with diabetes. |
| first_indexed | 2024-03-08T07:21:42Z |
| format | Article |
| id | doaj.art-c6879080a57b4ee2a6ee9823395ef321 |
| institution | Directory Open Access Journal |
| issn | 1757-1146 |
| language | English |
| last_indexed | 2024-04-24T14:12:17Z |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Foot and Ankle Research |
| spelling | doaj.art-c6879080a57b4ee2a6ee9823395ef3212024-04-03T09:01:47ZengWileyJournal of Foot and Ankle Research1757-11462018-01-0111111410.1186/s13047-017-0244-zDiabetic Foot Australia guideline on footwear for people with diabetesJaap J. van Netten0Peter A. Lazzarini1David G. Armstrong2Sicco A. Bus3Robert Fitridge4Keith Harding5Ewan Kinnear6Matthew Malone7Hylton B. Menz8Byron M. Perrin9Klaas Postema10Jenny Prentice11Karl-Heinz Schott12Paul R. Wraight13School of Clinical Sciences, Queensland University of TechnologySchool of Clinical Sciences, Queensland University of TechnologySouthern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, University of Arizona College of MedicineDepartment of Rehabilitation, Academic Medical Center, University of Amsterdam, Amsterdam Movement SciencesDiabetic Foot AustraliaUniversity Dean of Clinical Innovation, Professor of Wound Healing Research, Cardiff UniversityDiabetic Foot AustraliaDiabetic Foot AustraliaDiscipline of Podiatry, School of Allied Health, College of Science, Health and Engineering, La Trobe UniversityDiabetic Foot AustraliaDepartment of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Department of Rehabilitation MedicineDiabetic Foot AustraliaSchool of Health and Human Sciences (Pedorthics) Southern Cross University Gold Coast CampusDiabetic Foot AustraliaAbstract Background The aim of this paper was to create an updated Australian guideline on footwear for people with diabetes. Methods We reviewed new footwear publications, (inter)national guidelines, and consensus expert opinion alongside the 2013 Australian footwear guideline to formulate updated recommendations. Result We recommend health professionals managing people with diabetes should: (1) Advise people with diabetes to wear footwear that fits, protects and accommodates the shape of their feet. (2) Advise people with diabetes to always wear socks within their footwear, in order to reduce shear and friction. (3) Educate people with diabetes, their relatives and caregivers on the importance of wearing appropriate footwear to prevent foot ulceration. (4) Instruct people with diabetes at intermediate- or high-risk of foot ulceration to obtain footwear from an appropriately trained professional to ensure it fits, protects and accommodates the shape of their feet. (5) Motivate people with diabetes at intermediate- or high-risk of foot ulceration to wear their footwear at all times, both indoors and outdoors. (6) Motivate people with diabetes at intermediate- or high-risk of foot ulceration (or their relatives and caregivers) to check their footwear, each time before wearing, to ensure that there are no foreign objects in, or penetrating, the footwear; and check their feet, each time their footwear is removed, to ensure there are no signs of abnormal pressure, trauma or ulceration. (7) For people with a foot deformity or pre-ulcerative lesion, consider prescribing medical grade footwear, which may include custom-made in-shoe orthoses or insoles. (8) For people with a healed plantar foot ulcer, prescribe medical grade footwear with custom-made in-shoe orthoses or insoles with a demonstrated plantar pressure relieving effect at high-risk areas. (9) Review prescribed footwear every three months to ensure it still fits adequately, protects, and supports the foot. (10) For people with a plantar diabetic foot ulcer, footwear is not specifically recommended for treatment; prescribe appropriate offloading devices to heal these ulcers. Conclusions This guideline contains 10 key recommendations to guide health professionals in selecting the most appropriate footwear to meet the specific foot risk needs of an individual with diabetes.http://link.springer.com/article/10.1186/s13047-017-0244-zFoot ulcerDiabetes mellitusFootwearPreventionGuideline |
| spellingShingle | Jaap J. van Netten Peter A. Lazzarini David G. Armstrong Sicco A. Bus Robert Fitridge Keith Harding Ewan Kinnear Matthew Malone Hylton B. Menz Byron M. Perrin Klaas Postema Jenny Prentice Karl-Heinz Schott Paul R. Wraight Diabetic Foot Australia guideline on footwear for people with diabetes Journal of Foot and Ankle Research Foot ulcer Diabetes mellitus Footwear Prevention Guideline |
| title | Diabetic Foot Australia guideline on footwear for people with diabetes |
| title_full | Diabetic Foot Australia guideline on footwear for people with diabetes |
| title_fullStr | Diabetic Foot Australia guideline on footwear for people with diabetes |
| title_full_unstemmed | Diabetic Foot Australia guideline on footwear for people with diabetes |
| title_short | Diabetic Foot Australia guideline on footwear for people with diabetes |
| title_sort | diabetic foot australia guideline on footwear for people with diabetes |
| topic | Foot ulcer Diabetes mellitus Footwear Prevention Guideline |
| url | http://link.springer.com/article/10.1186/s13047-017-0244-z |
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